Fine lines and wrinkles, which are usually the first visible sign of aging, can make people feel older and less attractive. They can also give a false impression that a person is angry, sad, tired, or fatigued when they actually are not. Botox® injections are a safe and simple non-surgical solution to reduce or eliminate fine lines and wrinkles. Dr. Philip Miller is a double board-certified facial plastic surgeon in New York, NY, who helps countless patients look younger using Botox.

What is Botox?

Botox is an FDA approved neuromodulator treatment for frown lines and crow’s feet. It works by blocking nerve impulses to the facial muscles responsible for certain fine lines and wrinkles called dynamic wrinkles. The medication is administered via injection in 3-4-month intervals. Following Botox injections, the skin appears smoother and less wrinkled.

The Botox Injection Procedure in New York City

The procedure starts by making the patient as comfortable and relaxed as possible. No IV sedation or anesthesia is required. After the skin is cleaned and prepped using a special solution, a tiny needle is inserted into muscles beneath wrinkled areas and Botox is administered. Total procedure time lasts approximately ten minutes. The procedure is best performed by an experienced physician who understands the aging processes of the face.

The Recovery Process

In most cases, patients are allowed to immediately return to activities as normal. It is possible that temporary bruising may occur near the injection site. Patients who wish to cover bruising may easily do so using makeup. Smoother, less wrinkled skin may be seen in as little as 24-48 hours and may last up to 4 months.

Good Candidates for Botox Injections NYC

Healthy men and women who want to look more youthful by improving the appearance of their fine lines and wrinkles are good candidates for Botox injections. A positive mindset and realistic goals are also important qualities of a good candidate.

Botox Before and After Photos

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Consultation with Dr. Miller

A consultation with Dr. Miller includes the following:

• A thorough medical history review
• A physical examination of your face, in which Dr. Miller may take pictures for review
• A discussion regarding goals, expected results, and alternative treatment options

Dr. Miller will also answer any questions and address any concerns you may have.

Manhattan Botox FAQ

Q. Will people be able to tell that I have had an injection?

A. Botox injections should always be administered by a board-certified physician with extensive experience with cosmetic treatments. A physician who knows how to perform the procedure can do so without any noticeable signs occurring afterward.

Q. Are results permanent?

A. The results of neuromodulator treatments are temporary. They do last longer in some patients than others and can be maximized by caring for and protecting your skin after the procedure. Also, non-smokers generally experience longer lasting results.

Q. Is there anything I should avoid doing after the procedure?

A. Pressure may move the medication from its intended area. For this reason, you should avoid the following:

• Rubbing or massaging the injected area for six hours after the procedure
• Bending, kneeling, or stooping excessively for twenty-four hours after the procedure

You should also avoid drinking alcohol for 24 hours.

Q. Is Botox FDA approved?

A. Botox is the only FDA approved treatment to improve the appearance of frown lines between the brows and crow’s feet lines.

Q. What is in Botox?

A. Botox contains botulinum toxin type A, a toxin produced by the bacterium Clostridium botulinum. As previously mentioned, the toxin blocks nerve impulses to the facial muscles.

Q. Can men use Botox?

A. Clinical studies have shown that Botox can be effectively used by men and women. As the trend amongst men having plastic surgery continues to increase, so does the popularity of Botox injections in the male patient population.

Q. At what age should I start Botox injections?

A.  There is no set age to begin using Botox injections. The decision to receive treatment is an individual one. Some of the factors that may influence your decision include the following:

• Your aesthetic goals
• Your skin quality
• The progression of aging

The opinion of the physician treating your condition is also very important.

Q. What is the difference between Botox and fillers?

A. There are two types of wrinkles. Dynamic wrinkles are those that occur due to the use of facial muscles. Static wrinkles are those that are seen when the face is at rest. Botox treats dynamic wrinkles while static wrinkles are treated using fillers. By filling in the wrinkled skin with gel, fillers help the skin appear full and plump.

Q. Can Botox injections be combined with other procedures?

A. Botox Injections can be combined with other procedures, including but not limited to the following:

• Chemical peels
• Laser treatments
• Microdermabrasion

And, in some cases, fillers may be combined with Botox as well. The combination of procedures can be a great way to enhance facial appearance and maximize results.

Q. How many times can I have Botox injections?

A. There is no limit. However, treatments should be spaced out over the course of 3-4-months and should only be administered by an experienced, qualified physician.

Q. Does Botox ever stop working?

A. Patients generally do not develop resistance to Botox. However, it is important to space out injections to avoid muscle atrophy.

Q. When should I think about having surgery?

A. Patients looking for a permanent fine line and wrinkle solution may find one in any of the following procedures:

• A face or neck lift
• A brow lift
• Eyelid surgery (blepharoplasty)

The decision to undergo surgery is an important one that should be made based on your goals and discussions with a board certified plastic surgeon.

Q. Can I get Botox injections if I am pregnant?

A. Women who are pregnant, hoping to get pregnant or breastfeeding should not get Botox® injections.

Q. Are Botox parties safe?

A. Botox should only be administered in a medical setting by a trained and experienced board-certified physician.

Q. How do I know if Botox injections are right for me?

A. The best way to definitively know is to make an appointment with Dr. Miller. His knowledge and experience will help determine if Botox injections are the right treatment option for your condition.

Q. Can I discuss other treatment options with Dr. Miller?

A. Of course! Dr. Miller has over twenty years of experience in facial plastic surgery. He will gladly go over any and all available treatment options with you.

Q. Will Dr. Miller take before and after photos?

A. If you would like before and after photos for comparison purposes, Dr. Miller will take them for you.

Q. What should I bring to my consultation appointment?

A.  You should bring the following:

• A list of medications you are currently on
• A list of medications you are allergic to
• A list of questions and concerns

If you would like to bring photographs for comparison purposes, you may do so.

Schedule a Botox Appointment in New York City

Dr. Miller has helped thousands of patients using Botox injections in his New York City office.  For more information, visit medlineplus.gov or contact us online to make an appointment.

Next, read about buccal fat removal.

*Patient results may vary

Improving one’s appearance and body image can significantly impact self-confidence. For individuals with skin color loss, or de-pigmentation, medical corrective tattooing can help. De-pigmentation may occur for a variety of reasons. Medical procedures, trauma, burns, congenital anomalies, and skin diseases can all lead to pigmentation irregularities. While many scars and skin abnormalities can be improved with medical treatments and surgery, skin color may still need to be addressed in order to recreate a “normal” appearance.

Understanding Skin Camouflage and Scar Camouflage

Skin camouflage and scar camouflage refer to the process of tattooing the skin using different shades of flesh tone pigments with the goal of disguising a scar or pigment irregularity. This form of medical or paramedical tattooing is considered a specialized form of cosmetics. You may find it referred to by a number of other names, such as Corrective Pigment Camouflage (CPC), Skin Repigmentation, Scar Camouflage, Corrective Camouflage, Skin Camouflage, Skin Color Tattooing, and Camouflage Tattooing. Scar and skin camouflage requires a specialist with a thorough understanding of the science behind pigments and the physiology of human skin and tissue, as well as advanced knowledge, training, skills, and experience in cosmetics and an artistic eye for color.

Candidates for Skin Color Repigmentation

Not all individuals with scars or skin abnormalities are candidates for skin repigmentation. The best candidates are generally those with scars that meet the following criteria:

• Healed. Scars should be healed, at least 9 to 12 months old, with stable color and no be still be healing and premature tattooing may lead to additional skin damage. An experienced, reputable medical tattooist will not work on scar tissue prematurely. If you are wondering whether you may be a candidate for skin color repigmentation, your physician may be able to advise you.

• Smooth, flat appearance. Issues with skin texture generally cannot be addressed with camouflage tattooing. For this reason, bumpy or raised scars may not be appropriate for treatment. The best scars for treatment are smooth and relatively flat. There are treatments available which may be able to first improve the skin texture before undergoing camouflage tattooing.

• Free of dark edges. Scars with dark edges or borders may be indicative of post inflammatory hyper-pigmentation (PIHP) resulting from trauma or surgery. Increased hyperpigmentation and wider, darker borders may result from the camouflage tattooing process, though this tends to be more common among those with darker skin tones.

Some skin and pigment abnormalities are not good candidates for treatment with skin color repigmentation. These include port wine birthmarks, spider veins, freckles, age spots, under-eye circles, hyperpigmentation, and unstable vitiligo. These conditions may be improved with other treatments such as laser therapy, sclerotherapy, or chemical peels. A consolation can help to determine the best treatment for you.

Candidates for camouflage tattooing must have realistic expectations and understand that treatment cannot completely restore the skin to its pre-injured state or fully erase the scar or abnormality. The goal of camouflage tattooing is to improve upon color differences to help disguise the imperfection. Patients who spend time tanning may not be satisfied with their result as the tattooed skin will not darken like the surrounding skin when exposed to sunlight or tanning booths. The results of camouflage tattooing take time and may require more than one session.

Visit Our GalleryNext, read about Ultherapy.

As seen on The Doctors and Dr. Oz, the Pellevé Wrinkle Reduction System safely and effectively delivers skin tightening and firming results via a series of non-invasive, radiofrequency based treatments.

Pellevé can be used to firm the skin around the eyes (crows feet, under eye wrinkles and lax skin), cheeks, jowls, lines on the forehead, nasolabial folds, and wrinkles around the mouth, and the best results are achieved in mildly to moderately wrinkled and lax skin. Patients see improved skin quality, firmness, and a tighter appearance.

The Pellevé technology works by heating layers of the skin just enough to stimulate collagen changes without damaging the top layer or epidermis. Patients experience a deep warming sensation which feels like a warm facial massage which is virtually painless. The results are immediate in most cases and can last up to six months or longer, and a series of 3 treatments are recommended. Pellevé treatments in our New York City office take approximately 30-60 minutes, based on the size of the area being treated. Because Pellevé does not require anesthesia or downtime, it fits easily into your busy schedule.

Pellevé Results

Measurable and immediate improvement:

• Visible and lasting effects in nearly all patients
• Better skin quality and reduction in skin laxity

Safe and effective:

• Non-invasive
• No anesthetic required
• No skin cooling needed
• Minimal discomfort
• Minimal side effects

To learn more about how Pelleve works and the technology behind it, visit www.pelleve.com

Visit Our GalleryNext, read Skin Color & Skin Camouflage

The Eclipse MicroPen™ is a new innovation in aesthetic medicine now offered in our Manhattan surgical office for the treatment of fine lines, acne scars, and improvement of the skin’s overall appearance.
During this procedure, tiny needles are used to create controlled micro-injuries to the skin in order to produce collagen and elastin. The skin’s repair process results in a thicker dermis with the appearance of softer wrinkles. Eclipse MicroPen™ also creates superficial micro-channels which allow topical gels, creams, and serums to be absorbed more effectively into the skin.

What are the Benefits of the MicroNeedling Procedure?

The benefits of micro-needling are a reduction in the appearance of fine lines and wrinkles, younger-looking skin with fewer signs of aging. Eclipse MicroPen™ also has a positive effect on hyperpigmentation as well as on hypo-pigmentation, acne scars, traumatic scars and stretch marks and generally creates a fresher appearance or glow to the skin.

To learn more about MicroPen and the process of micro-needling, visit www.ncbi.nlm.nih.gov

Wet/Dry Microdermabrasion

Wet/Dry microdermabrasion combines crystal free microdermabrasion, vacuum technology, and strategic product infusion to provide a gentle and effective exfoliation that leaves skin visibly soft, radiant, and glowing.

The microdermabrasion with product infusion is perfect for all skin types and is specifically designed for dull skin, age management, fine lines and wrinkles, mild to moderate blemishes, skin smoothing, and hyperpigmentation. Contact our New York City office to schedule a consultation today.

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Dr. Philip Miller is very proud to offer the newly FDA approved Kybella, a non-surgical injectable treatment to eliminate double chin fat. The procedure is available in his office in New York City. Kybella, also known as deoxycholic acid, is available in a non-invasive injectable procedure for adults who have moderate-to-severe fat deposits below the chin area. This type of fat is known as submental fat. Dr. Miller is now able to treat his New York City patients with Kybella and eliminate double chins without surgery.

What is Kybella?

Kybella is a version of deoxycholic acid, promises to melt away chin fat. It uses a naturally-occurring molecule in the human body to aid in the breakdown of normal dietary fats. Until now, the only way to eliminate double chin fat, also known as submental fullness was with the surgical procedure liposuction. However, liposuction is considered an invasive surgical procedure and usually requires that the patient remains in the hospital to heal. Kybella, offered in injectable form, offers a safe, non-invasive alternative.

Manufactured by Kythera Biopharmaceuticals, Kybella is injected into the patient’s chin with a very precise needle. The injected Kybella immediately begins to destroy the membranes of fat cells. Any remaining part of the fat cell is reabsorbed into the patient’s body. Similar to Botox, Kybella treatments involve 10-20 injections at each visit. The total visit only lasts approximately 15 minutes in Dr. Miller’s New York City office.

*Patient results may vary.

The secret behind Kybella is its ability to burst the fat cells and destroy them without affecting the surrounding cells. Fat is not melted but the membranes of the fat cells are broken allowing the contents to reabsorb into the patient’s body. The injection of Kybella actually disrupts the fat cell membranes.

Why Have Double Chin Fat Removal with Kybella

Double chin fat is one of the most difficult types of fat to lose. Because the fat deposits lie comfortably in sags of loose skin, even if the fat is lost, the skin stays behind. For centuries, men and women have struggled with ways to lessen the inevitable sag of chin fat due to time, gravity and being overweight.

The most common way to remove double chin fat before Kybella had been with liposuction – a surgical procedure. The patient would be admitted, have the surgery and remain in the hospital for several days for observation. The result would be scars, bruising and extreme tenderness. However, now with Kybella, all of that can be avoided.

Kybella is performed in an outpatient procedure in the physician’s office. The patient receives minimal prep work before the procedure. The physician administers approximately 10-20 injections of Kybella directly into the double chin fat area. Kybella immediately begins to work, breaking down the fat cell walls to allow the fat to redistribute into the patient’s body for easy absorption. The patient goes home the same day with minimal tenderness and mild to no scarring of any kind.

Double Chin Fat Removal with Kybella Treatment

Having double chin fat removed with the Kybella treatment is a low-risk effective procedure that will easily and quickly replace liposuction as the procedure of choice for double chin fat removal. People looking to get rid of double chin fat won’t have to resort to dramatic procedures like liposuction to regain the beauty of their younger years.

For some patients, removing double chin fat is not just a matter of vanity; it can actually present a health risk if the skin and tissue are left lying on the neck area or rub/chaff the area on a regular basis. Many patients experience soreness and even develop rashes and open lesions from large amounts of fat in the chin area. With Kybella as an option, patients are able to visit the physician as an outpatient and receive 10-20 injections that will immediately begin to break down the fatty cells and eliminate the double chin fat altogether.

Are You a Candidate?

Because fat cells are destroyed, the result will be loose, sagging skin. The ideal candidate for the Kybella injection procedure would have very supple, elastic skin that could recover from such a procedure. Patients who have a lot of extra skin would not really be best suited by this procedure. There are other options for patients who might need a more extensive treatment plan. Kybella patients will lose the fat cells that are filling up the excess skin under the chin. Once the fat is dissolved, the ideal skin would be extremely elastic and resilient, allowing it to shrink appropriately after the procedure.

Visit Our GallerySchedule a consultation with Dr. Miller to find out if you are a candidate for this new FDA-approved double chin fat removal treatment in New York.

FAQ

Q. How long will the procedure last?

A. Normally, the procedure only lasts about 15 minutes. The physician will administer 10-20 injections into the chin area in strategic places to ensure even distribution of Kybella. The fat cells will immediately begin to break down for re-absorption into the body.

Q. What can I expect after the procedure?

A. Patients can expect minimal bruising, minor pain and some numbness in the actual areas that are injected. Some patients report minor swelling as well. If these symptoms become troublesome, discuss them with your doctor for possible short-term remedies.

Q. Are there risks?

A. As with all surgical procedures, rarely more serious side effects do occur. One particular risk is an injury to the marginal mandibular nerve located in the lower neck area. If the nerve is injured, the patient could experience permanent loss of control of facial expressions on that side of the face resulting in an uneven smile. This is why choosing a trained, skilled physician is critical. The FDA has clearly mandated that only trained licensed healthcare professionals knowledgeable in the procedure are allowed to administer the Kybella injections. Learn more about possible risks at fda.gov.

Q. How soon can I return to work?

A. One of the great aspects of Kybella is the minimal recovery time. Patients are usually able to resume all normal daily activity immediately following the treatment. There is an inflammatory reaction immediately following the injections. Healing usually takes two to three days under normal circumstances.

Kybella Treatment in New York

As always, if your primary concern is weight loss, the ideal method for achieving this goal would be by eating a balanced diet and getting plenty of exercise. However, for many, a targeted removal of fat cells is necessary. Don’t wait any longer. Contact Dr. Philip Miller to schedule a consultation in his New York City office today.

Next, learn about MicroPen.

Fractora™ laser skin resurfacing is an advanced anti-aging treatment which can rejuvenate the facial skin for a more youthful, radiant glow. Fractora uses fractional radiofrequency technology to ablate and resurface the skin, providing a significant improvement in the skin tone and texture.

This procedure can address common skin conditions like fine lines and deep wrinkles, redness, brown spots and other pigmentation issues, poor texture, and visible blood vessels. In the past treating this many conditions would require multiple treatments, but now Fractora can treat all at once at our New York City skin surgery center. Fractora is ideal for treating the upper and lower eyelids, smiles lines, mouth, cheeks, and neck.

What is Fractora Firm?

Fractora Firm is an advanced skin rejuvenation treatment that uses thermal energy to heat deep beneath the skin, tightening the skin and promoting collagen production. This is a safe, non-invasive treatment that can be used in all areas of the face and body to improve loose or sagging skin for a firmer appearance. There are two configurations of treatment, Fractora Firm and Fractora Plus which has a larger handpiece. Both are designed with built-in safeguards for precise thermal heating and optimal skin contraction without any risks of overheating the skin. More information on laser skin resurfacing can be found at ncbi.nlm.nih.gov

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Schedule a Fractora Laser Skin Consultation in New York

Dr. Miller is a renowned facial plastic surgeon located in New York City. He performs the Fractora Firm and Fractora Plus treatments at his JCAHO accredited office-based facility. Treatment is quick and easy with few side effects and little to no downtime. To learn more about Fractora or Fractora Firm or to schedule a consultation with Dr. Miller, contact us today.

Next, learn about G.I. Jaw® procedure.

As people age, the skin begins to show the effects of sun damage, becomes looser and develops textural changes. Luckily, there are many treatments available that can improve the look and feel of your skin. CO2 resurfacing lasers are one of the newer types of lasers available to treat wrinkles and other skin problems. Here’s what you need to know about CO2 resurfacing laser treatment.

CO2 resurfacing is a type of laser treatment offered at Dr. Philip Miller’s New York office. Sometimes called”pixelated” lasers because the laser creates many microscopic (microdot) treatment areas, CO2 Resurfacing lasers have a longer wavelength than other lasers on the market. The longer wavelength means it can be used on darker skin types; conventional lasers are less effective on dark skin. Fractionating the laser beam splits it into thousands of tiny shafts of intense light. Each shaft penetrates into the deeper layers of the skin.

To heal, the body pushes old, damaged skin out of the shaft and replaces it with new skin. Because the shafts are very small and close together, the skin surface is smoother and has a better appearance than that achieved with other laser treatments.

Why Undergo CO2 Resurfacing?

CO2 Resurfacing lasers are typically more effective in treating acne scars, blotchy skin, deeper wrinkles and scars from surgery or trauma. They also produce better results when the skin has severe textural changes including pigment abnormalities from sun damage. The laser affects the deeper layers of skin and helps to tighten or shrink collagen, which becomes loose as people age.

CO2 resurfacing lasers can be used in areas where the skin is delicate, such as on the eyelids and around the mouth. This type of laser is also used to remove precancerous growths called actinic keratoses. Although it is primarily used on the face, it can also be used – by an expert operator only – in areas like the chest, neck, arms, and legs. Patients who are careful about skin care and sun protection may find CO2 resurfacing laser treatments are effective for several years.

What is the CO2 Resurfacing Procedure Like?

Although the procedure itself takes about an hour, you should expect to arrive about 45 minutes before your treatment. Your skin must be thoroughly cleansed. Numbing cream or gel is applied to reduce discomfort; it takes about an hour for the full numbing effect. The numbing medication is then removed. Your eyes will be protected during the procedure. If you are having the eyelids treated, special protective contact lenses are inserted after numbing eye-drops are placed in the eyes.

The hand-held wand or device is moved slowly over the treatment area. Some physicians use a treatment called a Zimmer cooler, which blows a strong stream of cold air onto the treatment area to help reduce any discomfort. Anti-inflammatory medications may also be helpful. Most patients describe the actual treatment as causing pins and needles feeling. Most people are able to drive themselves to and from their treatments.

Are You A Candidate?

The best candidates for CO2 resurfacing laser treatments are people in their late 40s to 70s who have moderate to severe acne scarring, wrinkles or sun damage. If you take medications that may increase sun sensitivity or anticoagulants (blood thinners) you may not be able to have the procedure.

CO2 resurfacing treatments are not recommended for women who are pregnant or for people who have a history of healing problems or excessive scarring. Patients who have taken the medication Accutane within the last year and those who have had chemotherapy should not have CO2 resurfacing treatments. CO2 resurfacing lasers are not effective in removing redness from dilated blood vessels or similar kinds of discolorations. Patients with darker skin types (Fitz 4 and up) are not suitable candidates for this procedure.

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FAQ

Q: How long will the procedure last?

A: The procedure itself lasts about an hour and takes place at our New York City center, but additional aspects such as numbing and cleansing add to the time. Plan on a total time of about two and half hours. Some people need more than one treatment – it really depends on how much time you need to have for recovery.

Q: What can I expect after the procedure?

A: Immediately after the procedure, you can expect to look and feel as though you have a sunburn. Ice packs can help relieve any discomfort. The skin will peel for up to a week after the treatment. Occasionally patients develop minor bruising, which can take about two weeks to resolve. The full results of the procedure won’t become visible for three to six months. You will notice some immediate effects, such as less blotchiness. The skin will feel smoother; it will tend to be pinker than usual for about four to six weeks.

Q: Are there risks?

A: No medical procedure is totally risk-free. Mild pain is normal for the first day or two and redness lasts up to two weeks after the procedure. Rarely, it may last longer, especially in those people who blush easily or have dilated blood vessels on the surface of the skin. Your skin will be more sensitive to the sun for about four to six weeks after the procedure. Some people develop skin crusting as well as peeling. Occasionally people with darker skin may develop pigmentation changes (lighter or darker skin). These changes usually fade after three to six months, although on rare occasions that change is long lasting. Temporary swelling occurs in some patients, and very rarely, the treatment will cause scarring or an infection will occur.

Q: How soon can I return to work?

A: You should definitely plan to take the rest of the day off, as you will need to ice the treated areas. CO2 Resurfacing laser treatments can be customized – deeper treatments mean longer downtime for healing. Two shallow treatments may be equally effective and the healing time for each treatment is shorter. It takes three to 14 days for the skin to heal. For lighter treatments, expect three to five days of downtime, and for deep treatments, plan on seven to 10 days. If you are having the treatment performed for a special occasion like a wedding, allow at least two to four weeks of recovery time (longer for sites like the arms and legs).

To learn more about laser resurfacing, visit ncbi.nlm.nih.gov

Contact Dr. Philip Miller Today to Schedule a Consultation

Your skin is a barometer of health and greatly affects your appearance. CO2 Resurfacing laser treatments can make a big difference and there is no reason to look older. If you have questions or want to schedule an appointment in our New York City office, please call (646) 791-3025 or fill out this contact form.

Next, read about CoolSculpting.

CoolSculpting by Zeltiq Aesthetics, Inc. is a revolutionary, non-surgical cosmetic procedure for removing excess fat from localized areas of the body such as the abdomen, lower back, and waist. No anesthesia, needles, chemicals, incisions, scalpels, stitches, scars or recovery time are involved.

This non-invasive treatment can reduce fat by using a new technology to crystallize and dissolve fat cells beneath the skin’s surface. Selective subcutaneous fat cells, specifically those that diet and exercise cannot eliminate effectively, are reabsorbed safely and gently while healthy cells remain unharmed.

Before and After CoolSculpting

*Individual patient results can vary

Invented by Harvard medical scientists and FDA approved in 2010, this patented procedure utilizes the science of cryolipolysis wherein targeted fat cells are naturally eliminated through freezing temperatures. When fat units are exposed to the unique CoolSculpting device, they contract and undergo a process called apoptosis that gradually dissolves fat. Because there is never true skin penetration, healthy skin, tissues, muscles, and nerves are unaffected.

How CoolSculpting Works

Upon consultation, patients can address their specific needs, medical background, and realistic expectations. The patient and surgeon will develop a customized treatment plan in order to achieve desired results. The procedure typically lasts one hour. Patients are free to talk on their cell phone, listen to music, read a magazine, or even work on their laptop during a CoolSculpting session.

The targeted body area is outlined with a gel and the device is then applied. This device utilizes cooling panels which deliver the freezing temperature to initiate the fat cell reduction process. Safety sensors within the device monitor proper cooling feedback, so that healthy tissue and cells remain unaffected.

After the device is removed, the treated tissue may appear pink or red in color for anywhere from a few minutes to a few hours. Once the skin reaches normal body temperature, some minimal tenderness may be felt over the next 24 hours. Some patients have experienced mild bruising due to the suction quality, but this will resolve within two weeks.

Dr. Miller also offers Dual CoolSculpting at his New York surgery center, which treats two areas at once, allowing for faster treatment time, optimal patient comfort, and convenience. He is the only surgeon in the heart of midtown Manhattan to offer this procedure.

No Downtime with CoolSculpting

CoolSculpting is truly a no downtime procedure. You can schedule an appointment session during your lunch hour and go right back to work or continue engaging in your normal daily activities. Patients can appreciate noticeable and natural looking results after only one treatment.

However, full results are seen in approximately three months after the body has naturally processed all excess fat cells. You and your doctor may decide that additional treatments are necessary to continue or promote further fat cell reduction. Studies have shown up to a 25% fat reduction in treated areas. You can maintain long-term results by eating healthy and exercising regularly. Common side effects are numbness, “pins and needles” like tingling, and minor bruising to the affected body area, but all resolve within a few weeks’ time.

To learn more about CoolSculpting, visit ncbi.nlm.nih.gov or contact Dr. Miller in his New York City office to schedule a private consultation.

Visit Our GalleryNext, read about facelift.

As a renowned facial plastic surgeon, Philip J. Miller, MD, FACS draws in patients from all around the world who want to achieve beautiful, natural-looking results. Dr. Miller excels at creating comprehensive treatment plans that are tailored to each and every patient’s unique needs and goals, producing stunning results that exceed patient expectations.

But don’t take our word for it! Read what patients are saying about Dr. Philip Miller and his team in New York City. No celebrity endorsements, just regular people like you!

To schedule a consultation with Dr. Miller and his team, please call us or contact us online today.

Google Reviews for Dr. Philip J. Miller – 4.8 Stars

Lorraine de la cerda

January 2024 ★★★★★

Dr Miller is very accesible and a very pleasant and kind person. He takes into consideration all of your doubts and fears and he makes a plan alongside you to reach your goals. Dr. Miller is very considerate and he explains all the steps in extreme detail and in a way that is very easy to understand and follow. After my consultation I left feeling very comfortable and at peace with my future procedure.

Mackenzie Alyse

January 2024 ★★★★★

Dr. Miller is fantastic. I cannot recommend him enough. If his credentials, certifications, and experience don’t convince you, take it from me! This is the surgeon you want operating on you. Additionally, his staff are so personable, considerate, and available! I can’t speak highly enough of his practice.

Kylie Suitum

January 2024 ★★★★★

I went to Dr. Miller almost 10 months ago for my rhinoplasty and couldn’t be happier with not only the result, but the compassion, support and manners of Dr. Miller and his entire team. This procedure was something I wanted for 10 years so to say I was excited and nervous is an understatement but from my first consult with him, I knew Dr. Miller was the one!

Stephanie B

December 2023 ★★★★★

What a seamless experience. The care and time each person in Dr. Miller’s office took with me, including Dr. Miller himself was unmatched. They truly made me completely comfortable and crushed any doubt I had in my mind about the procedure. I’d recommend giving his office a visit if you want reassurance and a knowledgeable, caring team of medical professionals by your side for your procedure.

nathan fridman

December 2023 ★★★★★

Dr miller is the best. I have now done two procedures and they have come out great. He has a wonderful staff that makes things that much more comfortable.

Flori lopez

November 2023 ★★★★★

Dr. Miller is an amazing Doctor. He makes you feel so comfortable and his personality is 10/10. He made my daughter so happy and that makes me happy. He is so thorough and definitely wants to make sure you are happy with your results. Definitely the best!

Cynthia Rudman

November 2023 ★★★★★
I underwent a “tip-plasty” with Dr. Miller and could not be happier with the results. I didn’t want to look vastly different, just a bit more refinement to the excess cartilage on the tip of my nose. My results are so natural and exactly what I was looking for. By the time all the sutures dissolved (which took awhile) the incision line was already completely invisible. 10/10.

notyve

November 2023 ★★★★★
i had an amazing experience with Dr. Miller! He was very attentive and so sweet and very insightful about everything! i will most definitely be coming back.

Derrell Plaisance

September 2023 ★★★★★
My initial consultation with Dr. Miller and his staff was truly amazing! He really spent the time with me and my partner to discuss all the surgical options available to us and explained in detail his methods for achieving our aesthetic goals. A conversation with Dr. Miller was like talking to a dear friend, someone who really cares about your personal welfare and wants the very best for each of his patients. I highly recommend booking an appointment with Dr. Miller if your looking to find a plastic surgeon who goes the extra mile to get you superior results.

Yelp Recommended Reviews for Dr. Philip J. Miller – 4.4 Stars

12 Reviews – Dr. Philip Miller on Yelp.com

Ashley T

★★★★★
11/21/2023

New Orleans office was amazing Dr. Miller made me comfortable at first I was a ball of nerves and as talking I started to calm down nerves left and he referred me to a diff Dr that could help for my specific insecurities and also the perfect treatment… my self confidence went up just happy they were able to help me cause I’m sure it seemed so small but to me it was huge …. overall the best

A R.

★★★★★
8/28/2023

I did bariatric surgery and got almost to my goal weight. I was stuck between 20-25lbs away from it after losing 103lbs. I have begun working with Araksya at the clinic as part of their weight loss program. I have tried with other clinics and with her support and the clinic program my weight has finally started decreasing again. We discussed sustainable weight loss, nutrition and how to administer the medications as part of the clinic’s program. I feel amazing and my clothing is fitting much better. I mentally felt stuck as well before this. Araksya has been so accommodating to my needs and has made this such a collaborative process. Even within the first month I have gotten a quarter of the way to my goal. Thank you Araksya and Dr Philip for offering this program.

Paige C.

★★★★★
4/13/2023

I love Dr Miller’s technique and vision to keep me as natural looking as possible. I’ve been to the NY and New Orleans offices. All have been fabulous.

Susan E.

★★★★★
4/13/2023

Dr Miller is the best. He is a caring, knowledgeable and fairly priced surgeon. Best results and long lasting. Entire staff is A+.

RealSelf Reviews for Dr. Miller – 4.7 Stars

Great Microlift experience – local anesthesia & a quick surgery

florida305 – November 2023 – Mini Facelift – ★★★★★
After I saw the photos of Dr Miller’s Microlift, I decided for the surgery. I took a flight from Central America, where I live, to New York. It was a quick surgery, local anesthesia, one hour. My clock went back 10 years. I’m so glad I went. Dr Miller is a great person, funny and good surgeon. Thanks

My nose now looks exactly the way I hoped

easygoing13742 – December 2021 – Rhinoplasty – ★★★★★

At the consultation, Dr. Miller made me feel that he could handle my requests for how I would like to look. My nose now looks exactly the way I hoped. His staff and surgery crew were amazing. They were professional, good-natured, and reassuring.
My surgery was exactly as Dr. Miller planned. I will recommend Dr. Miller and
his team to patients and friends.

Tania, RN BSN

Great Experience with Dr. Philip Miller

HappyPatient1201 – December 2021 – Rhinoplasty – ★★★★★
Can’t say enough great things about my experience with Dr. Miller! Not only is he and everyone is his office very knowledgeable, kind and accommodating, but the results of my rhinoplasty exceeded all of my expectations. I’ve received so many unsolicited compliments on how great it looks. Highly recommend!

RateMDs Reviews of Dr. Miller – 5 Stars

Over 250 reviews

Review Submitted June 8, 2020

Avg. Rating – ★★★★★ (5 stars)
Staff 5    Punctuality 5    Helpfulness 5    Knowledge 5
10 years later after my nose job and still loving Dr. Miller and his care.

Review Submitted September 09, 2018

Staff 5    Punctuality 5    Helpfulness 5    Knowledge 5
The staff was incredibly helpful from the front desk to the nurse and physician assistant. The office is well run with utmost attention and care for their patients. A follow up appointment was conducted to ensure I was thoroughly happy with my service. Highly recommend Gotham.

Review Submitted August 31, 2018

Staff 5    Punctuality 5    Helpfulness 5    Knowledge 5
I had Botox and filler a few weeks ago with Dr.Miller, I am beyond happy with my results. Everyone should see Dr.Miller.

Review Submitted August 18, 2018

Staff 5   Punctuality 5    Helpfulness 5    Knowledge 5
Great office. Highly recommend if your looking to have a natural result. He doesn’t talk you into buying the moon.

Highly Rated Facial Plastic Surgery in New York

Whether you’re from Manhattan or Malibu, Monaco or Mozambique, or anywhere in between, come see what makes Dr. Miller so unique. Dr. Miller puts his years of training, experience, and expertise to work in helping you face the world with renewed confidence and self-esteem.
To schedule a consultation, please call us or contact us online.

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